| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $72.44 | $100.00 | |
Ambetter
| Professional | $66.07 | $79.43 | $102.33 | |
BCBS
| Facility | $22.39 | $66.07 | $107.15 | |
BCBS
| Professional | $46.77 | $66.07 | $123.03 | |
Cigna
| Professional | $67.61 | $91.20 | $144.54 | |
Medica
| Facility | $56.23 | $70.79 | $128.82 | |
Medica
| Professional | $77.62 | $114.82 | $512.86 | |
United
| Facility | $74.13 | $87.10 | $120.23 | |
United
| Professional | $69.18 | $87.10 | $144.54 |